NHS Jobs
Patient facing activities Structured Medication reviews Frail elderly patient with problematic Polypharmacy, renal and/ or hepatic impairment Patients on high risk medicines STOPP/START identified patients Revolving door Hospital admissions LTC: Diabetes, Hypertension, Asthma, COPD contraception Learning Disability reviews Rheumatoid arthritis reviews Musculoskeletal pain management, e.g. osteoarthritis Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome (IBS) Contribute to multimorbidity reviews and multidisciplinary reviews Management of common/minor/self- limiting ailments Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate Repeat prescribing Produce and implement robust systems for repeat prescribing Support the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review Coordinate with patients and community pharmacies as appropriate Management of medicines at discharge from hospital To reconcile medicines following discharge from hospitals, intermediate care and into care homes Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge Risk Management and Patient Safety Responsible for high risk drug monitoring Responsible for design, development, and implementation of system searches to identify cohorts of patients at high risk of harm from medicines. Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety Medicine information to practice staff and patients Deal with all medication queries from From patients, community pharmacy, secondary care From admin staff From clinicians Act as a source of medicines information for the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives for out of stocks) Care Quality Commission Provide leadership to the general practice teams to ensure practices are compliant with CQC standards where medicines are involved. Undertake risk assessment and management and ensure compliance with medicines legislation. Public health To contribute to public health campaigns, including u vaccinations, and adult immunisation programmes Cost saving programs Promote evidence based, cost effective prescribing Lead on compliance with medicines formulary Training Provide education and training to primary healthcare team on procedures around medicines as appropriate Medicines quality improvement Identify medicine-related areas of care (including using software tools) to improve patient safety and use of medicines. Conduct medicine-related audits, significant event audit and complaint review. Contribute to medicine-related complaint response letters as appropriate Lead on use of TARGET toolkit for antimicrobial stewardship. Lead on stopping over-medication of people with a learning disability, autism, or both (STOMP) and people with dementia. Medicines safety Identify national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Behavioural Competencies and skills for the role: Expert Professional Practice Demonstrates general pharmaceutical skills and knowledge in core areas Demonstrates accountability for delivering professional expertise and direct service provision as an individual Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options Recognises priorities when problem-solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate Can follow legal, ethical, professional, and organisational policies/procedures and codes of conduct Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance Collaborative working relationships Recognises the roles of other colleagues within the organisation and their role to patient care Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs) Demonstrates ability to work as a member of a team Can recognise personal limitations and refer to more appropriate colleague(s) when necessary Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit Liaises with other GP Practices and staff as needed for the collective benefit of patients Leadership Demonstrates understanding of the pharmacy role in governance and can implement this appropriately within the workplace Demonstrates understanding of, and contributes to, the workplace vision Demonstrates ability to improve quality within limitations of service Reviews last years progress and develops clear plans to achieve results within priorities set by others Demonstrates ability to motivate self to achieve goals Management Demonstrates understanding of the implications of national priorities for the team and/or service Demonstrates understanding of the process for effective resource utilisation Demonstrates understanding of, and conforms to, relevant standards of practice Demonstrates ability to identify and resolve risk management issues according to policy/protocol Follows professional and organisational policies/procedures relating to performance management Demonstrates ability to extend boundaries of service delivery within the team Education, Training and Development Understands and demonstrates the characteristics of a role model to members in the team and/or service Demonstrates self-development through continuous professional development activity Participates in the delivery of formal education programmes Key working relationships Patients GP, nurses, and other practice staff Members of the Medicines Management team including pharmacists, technicians, and dieticians Locality / GP prescribing leads and clinical directors Community nurses and other allied health professionals Community pharmacists and support staff Hospital staff with responsibilities for prescribing and medicines optimisation Codes of Conduct Pharmacists must comply with the Code of Professional Conduct set by the General Pharmaceutical Council and Islginton GP Federation Equal Opportunities Islington GP Federation is committed to an equal opportunities policy that affirms that all staff should be afforded equality of treatment and opportunity in employment irrespective of sexuality, marital status, race, religion/belief, ethnic origin, age, or disability. All staff are required to observe this policy in their behaviour to fellow employees. Confidentiality All employees are required to observe the strictest confidence regarding any patient/client information that they may have access to, or accidentally gain knowledge of, in the course of their duties. All employees are required to observe the strictest confidence regarding any information relating to the work of Islington GP Federation and its employees. You are required not to disclose any confidential information either during or after your employment, other than in accordance with the relevant professional codes. Health and safety/ Risk Management Islington GP Federation expects all staff to have a commitment to promoting and maintaining a safe and healthy environment and be responsible for their own and others welfare. The post-holder must always comply with the Federation and Practices Health and Safety policies, by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System. Travel The post-holder is required to travel independently between practice sites (where applicable), and to attend meetings etc. hosted by other agencies